Robert Berg

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036086945 Issued in IL

Practice address

2475 Dean St
St Charles, IL 60175-4831

Phone

(630) 584-9800

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Rush Medical College of Rush University, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apollo Medical Group of Illinois LLCGroup PAC ID 4880036078, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apollo Medical Group of Illinois LLC

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1730934597
  Medicare reassignment Care Compare group NPD
• Valley Ambulatory Surgery Center Anesthesiology LTD

  • Anesthesiology Physician
  • St Charles, IL
  • NPI 1629082326
  Medicare reassignment NPD
• Valley Ambulatory Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • St Charles, IL
  • NPI 1104819424
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1477569259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 DEAN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754831",
            "telephone_number": "630-584-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 DEAN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754831",
            "telephone_number": "630-584-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036086945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086945",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Beeson, LSW
• Hayley Valene Belina, APRN
• Genevieve Belt, L.AC.
• Anna Benesiewicz, ACNP-BC
• Jennifer Berg
• Sue Bergstrom
• Autumn E Bernicky, DO
• Kimberly Berry
• Andrew Evo Bertagna, DMD, MD
• Charles E. W. Berthold, PH.D.

• Anesthesiology Physician in St Charles, IL
• Providers in St Charles, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.